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The cauda equina (from Latin tail of horse) is a bundle of spinal nerves and spinal nerve rootlets, consisting of the second through fifth lumbar nerve pairs, the first through fifth sacral nerve pairs, and the coccygeal nerve, all of which arise from the lumbar enlargement and the conus medullaris of the spinal cord.
The pelvic splanchnic efferent preganglionic nerve cell bodies reside in the lateral gray horn of the spinal cord at the T12–L1 vertebral levels (the spinal cord terminates at the L1–L2 vertebrae with the conus medullaris), and their axons exit the vertebral column as S2–S4 spinal nerves through the sacral foramina. [7]
This innervation, or nerve supply, is arranged in a neuropil and averages approximately 625 neurons in both the left and right ventral horns, [3] and measures about 4–6 mm on each side. [4] In other animals it averages approximately 300-500 on both sides. [3] Many staining techniques have been used to study the anatomy of Onuf's nucleus. The ...
Cauda equina syndrome (CES) is a condition that occurs when the bundle of nerves below the end of the spinal cord known as the cauda equina is damaged. [2] Signs and symptoms include low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or bladder control. [1]
The pelvic splanchnic nerves are featured as a key plot point in "Parasites Lost", a 2001 episode of the American animated TV comedy Futurama; when protagonist Philip J. Fry is infected with parasitic worms, the rest of the crew use micro-droids to enter his body with the intention of tickling the pelvic splanchnic ganglion to trigger a convulsive bowel movement that they believe will expel ...
In humans and other mammals, neurons in the PMC send descending excitatory projections to spinally located parasympathetic neurons controlling the detrusor muscle of the bladder and inhibitory interneurons regulating Onuf's nucleus. Additionally, the PMC receives ascending input from the level of the lumbosacral spinal cord.
The inferior hypogastric plexus is situated in the sagittal plane just outside the peritoneum, between the anterior sacral foramina (posteriorly), and the posterior aspect of the urinary bladder (anteriorly). It is situated lateral to the rectum and vagina, and media lto the internal iliac artery and internal iliac vein of either side. [2]
The sympathetic trunk is a fundamental part of the sympathetic nervous system, and part of the autonomic nervous system.It allows nerve fibres to travel to spinal nerves that are superior and inferior to the one in which they originated.